Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.86 / $344.17 / $978.11	Facility		$73.86	$344.17	$978.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $251.02 / $260.20	Professional		$244.90	$251.02	$260.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.51 / $475.81 / $1,042.26	Facility		$72.51	$475.81	$1,042.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $257.14 / $257.14	Professional		$257.14	$257.14	$257.14
Baylor Scott & White Facility/Professional Facility Modifier Low / Median / High Price $197.95 / $208.93 / $973.44	Facility		$197.95	$208.93	$973.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Facility		$260.20	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $338.08 / $612.24 / $1,093.28	Facility		$338.08	$612.24	$1,093.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,107.84 / $1,163.26 / $1,311.93	Professional		$1,107.84	$1,163.26	$1,311.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $254.08 / $306.12 / $615.34	Facility		$254.08	$306.12	$615.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.30 / $280.30 / $290.82	Professional		$280.30	$280.30	$290.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.75 / $329.99 / $346.49	Professional		$220.75	$329.99	$346.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $254.08 / $306.12 / $531.15	Facility		$254.08	$306.12	$531.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $255.10	Professional		$255.10	$255.10	$255.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $42.16 / $56.92 / $255.10	Professional		$42.16	$56.92	$255.10